Document 176144

Summer 12/13
Dear Patient,
Welcome to our newsletter and
thanks for coming to see us for
your physio needs.
Your ongoing health is very important
to all of us here at the clinic. We hope
that this newsletter will help keep you
up to date with information about
physio-related health matters that may
be of interest to you and people you
know. We hope you enjoy it!
If you have any queries, please
call us. If you, or someone you
know, have a physio related problem,
please call us. We would be more
than happy to help you out in any way
we can. Please feel free to pass this
newsletter on to your family and friends.
With kind regards
The Therapists and Staff at
Rouse Hill
Physiotherapy Centre
working at this clinic are:-
Aaron Lewis
BAppSc(Phty) MAPA
Principal Physiotherapist
0418 476 012
[email protected]
Tyson Aquilina
Associate Physiotherapist
Exercise Physiologist
[email protected]
Linda Chee
Women’s Health
Simon Quinn
Associate Physiotherapist
[email protected]
4/26 Adelphi Street
Rouse Hill NSW 2155
T (02) 9836 4444
F (02) 9836 1966
[email protected]
As summer progresses, many Australians become more
active around the house and garden. Unfortunately,
this can lead to
an increase in
back problems.
If you are a
keen gardener,
it is important
that you take
measures to look after your back.
Here are some things to consider:v WARMING UP
Stretch and warm up before gardening. This will
prepare your muscles and joints for the work ahead and
it will help prevent injury.
Having good muscle tone and general fitness is always
a good idea. This is especially so if you have back
problems. Good flexibility, endurance and muscle tone
will help keep your back healthy.
Prolonged or repeated bending overloads the spine. Try
to perform activities between waist and chest level, so
that you don’t work with a bent spine. An example of
this is placing pots on a bench
to do the re-potting, rather
than having the pots on the
ground, or in a low position.
Lifting can also overload the
spine. Do not attempt to lift
heavy objects on your own.
Use a lifting device, like a
trolley, where possible. If you do lift, try to keep your
back straight, your bottom pushed out and use your
legs to do the work.
Do not jerk; lift slowly and in a controlled manner.
Learn to pull your belly button in slightly, while you
lift, to help stabilise your spine.
Do not perform any sudden or heavy lifting after you
have been sitting for prolonged periods.
For example, lifting a bag of mulch out of the boot
after a long car trip can put your back at risk.
Similarly, prolonged sitting after heavy work can cause
problems. Lie down to rest or watch TV, after a session in
the garden; don’t sit.
Try to use a wheel barrow or a trolley to carry pots, bags
etc from one point to another. Avoid carrying heavy or
awkward objects on your own. Carrying can overload
your spine and may cause damage and pain.
If you have a chronic or recurrent back problem, it may
be worth considering wearing a back brace whilst
gardening. A back brace will give you support and it will
also remind you to maintain good posture.
Visiting your physiotherapist for a check up will help
determine whether
you have adequate
flexibility and muscle
control. Improving
this will help keep
your spine healthy.
Physiotherapists are
experts in dealing with back pain. If you do have trouble,
see your physiotherapist without delay.
Did You Know?
According the German researchers,
the risk of heart attack is higher on
Monday than any other day of the week.
Gardening ...........................................................
Sitting and spinal pain ........................................
Splints and braces; orthotics ...............................
Types of conditions seen by physios ....................
Cricket injuries .....................................................
Do you need a “tune up” ......................................
First aid ...............................................................
Dear physio .........................................................
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ORTHOTICS? causing you A PAIN in the NECK
If you have biomechanical problems with your
feet, orthotics (shoe inserts) can help realign
your feet to take the pressure off your joints
and soft tissues. Ask the physiotherapists at
this clinic to assess you. We can help arrange
either off the shelf or custom made orthotics.
Your physiotherapist can obtain a range of splints,
braces, walking aids, tape and other equipment
for you, to help you manage or overcome a
problem or disability. A physiotherapist can advise
what is the best option for you and ensure it
fits properly and suits your condition. If you are
considering obtaining a brace or some other type
of medical device, ask your physiotherapist to
recommend and supply it.
Find out what you can do about it!
Sitting in office chairs for prolonged periods
of time can cause low back pain, or worsen an
back or neck
problem. This
is especially
so if you have
poor siting
Here is a quick checklist to help make sure that
your office chair is as comfortable as possible,
and will cause the least amount of stress to your
spine. By taking note of the following, you can
adjust the office chair according to your physical
Your bottom should be pressed against the back of your
chair; and there should be a cushion that causes your
lower back to arch slightly, so that you don’t slump
forward or slouch down in the chair as you tire. This low
back support in the office chair is essential to minimize
the load (strain) on your back. Never slump or slouch in
the chair, as that places extra stress on the structures in
the low back, and in particular on the lumbar discs.
First, begin by sitting comfortably
as close as possible to your desk, so
that your upper arms are parallel to
your spine. Rest your hands on your
work surface (e.g. desktop, computer
keyboard). If your elbows are not at
a 90-degree angle, move your chair
either up or down.
Check that you can easily slide your
fingers under your thigh at the
leading edge of the chair. If it is too
tight, you need to prop your feet up
with an adjustable footrest. If you are
unusually tall, and there is more than a finger width
between your thigh and the chair, you need to raise the
desk/work surface so that you can raise your chair.
With your bottom against the chair back, try to pass
your clenched fist between the back of your calf and the
What types of conditions can a
physiotherapist help you with?
Many patients are unaware of the many conditions that can benefit from physiotherapy.
Below is a list of some of the common problems that we help you deal with:v Back and neck pain v Headaches
v Sprained ankles v Injured knees
v Arthritic pain and stiffness v Shoulder pain
v Tennis elbows v Tendon problems
v Muscle tears v Hand and foot problems
v Bruising v Fracture rehabilitation
v Rehabilitation after joint replacements
v Rehabilitation after joint and bone surgery
front of your chair. If you can’t do that easily, the chair is
too deep. You will need to adjust the backrest forward,
insert a low back support (such as a lumbar support
cushion, a pillow or rolled up towel) or go btain a new
office chair.
If you have any of the above problems, and you want to improve as quickly as
possible, have an assessment from one of the physiotherapists at this clinic.
Cricket is one of Australia’s most popular sports.
However, injury can hamper performance and
reduce participation. A study by Orchard et al
(2006) has shed some light about the types and
incidence of injury in Australian cricket.
Here are some points to consider:-
actions are thought to involve less strain on a bowlers'
lumbar spine and so less injury.
Workload (number and intensity of bowling sessions
per week) may play a factor. Governing this during
training and games may also be important in reducing
injury to fast bowlers in particular.
The most common injuries in Australian cricket are:side and abdominal strains, hand and wrist injuries,
low back problems, groin and hip problems, thigh and
hamstring strains, knee injury, shin/foot/ankle injury
and shoulder problems. Thigh strains, ankle/foot/
shin injury and low back problems seem to have the
highest incidence.
The public’s common perception of amateur cricket
being dominated by overweight/ unfit individuals may
be unfair. However, fitness and conditioning may need
to become a
bigger part of
the culture in
lower grades of
cricket. Paying
attention to
flexibility, core
muscle control
and general strength and conditioning should lead to
better injury prevention outcomes in cricket.
Pace bowlers are by far the most injured cricketers.
Age plays a factor in overall injury. Batsmen, spinners
and wicket keepers over 31 years are very prone to
injury. Interestingly, all pace bowlers are susceptible
to injury but particularly those aged under 22 years.
Perhaps this is a reflection on pace bowling being a
predominantly young person’s endeavour.
Like all sports, good coaching may be a factor in
reducing injury and enhancing performance. Good
technique and practice should, in theory, lead to less
strain on cricketer’s bodies. The so-called “mixed”
bowling action may be associated with low back
problems in fast bowlers. “Side on” and “front on”
Your gaze should be aimed at the centre of your
computer screen. If your computer screen is higher or
lower than your gaze, you need to either raise or lower
it to reduce neck strain.
Adjust the armrest of the office chair so that it just
slightly lifts your arms at the shoulders. Use of an
armrest on your office chair is important to take some
of the strain off your neck and shoulders. It should also
make you less likely to slouch forward in your chair.
Finally, no matter how comfortable you are in your
office chair, prolonged, static posture is not good for
your back. Try to remember to stand, stretch and walk
for at least a minute or two every half hour.
This will help you feel more comfortable, more relaxed
and more productive.
Did You Know?
There are 45 miles of nerves in
the skin of a human being.
Proper warm ups and preparation in all grades is
important and should assist in injury prevention.
Despite all of this, injury may still occur.
Injured cricketers should make a beeline to
their physiotherapist for proper treatment and
Orchard et al (2006) Sport Health Vol 24 (4) :18-26
A regular “TUNE-UP” can
help you stay feeling better
If you have a chronic or recurrent problem,
such as back pain, neck pain, headaches or
arthritis, a regular “tune-up” may help you
enjoy life more.
Most of these problems mentioned respond very well
to a course of physiotherapy. In conjunction, your
physiotherapist will usually give you self treatment
exercises, to help you improve your problem and
maintain this improvement.
Unfortunately, spinal problems and arthritic pain can
recur and can make your life miserable. If this is the
case with you, or someone you know, then regular
maintenance treatment (or “tune-up” sessions) should
be considered. “Tune-up” sessions will help keep
your joints mobile, will release tight muscles and will
update your self treatment exercises, so that they are
giving you maximum benefit.
If you suffer an injury, a knowledge of
appropriate first aid will minimise bleeding
and further damage. This in turn will help you
overcome your injury as quickly as possible.
The basics of first aid can be summed up by
remembering RICER for the first 48 hours. This
stands for:REST the injured part so that no further damage
can occur. This may mean stopping work or sport
immediately. It may also mean applying some
sort of splint to prevent movement of the injured
ICE should be applied to the injured part for
15-20 minutes, every 30-60 minutes, to slow
down bleeding and swelling.
Make sure you avoid
an ice burn
by wrapping
the ice in
a damp
cloth, so
that it
does not
contact the skin.
COMPRESSION will also help reduce swelling
and bleeding . This can be done by wrapping
a bandage around the injured part or by
compressing the injured site with your hand.
ELEVATE the injured part so that bleeding and
swelling flow away from the injured part.
REFER the injured person to a health professional
for further assessment and management. This
would usually mean to your family doctor or your
Physiotherapists are experts in managing sports
and soft tissue injuries such as bruises, sprained
ligaments and strained muscles.
Many patients find that a tune-up session every few
weeks can help keep them feeling good and stop
them having repeated acute episodes of pain. It is also
more cost effective than having extensive treatment
to overcome an acute episode of pain.
If you are wondering whether you might benefit from
regular maintenance treatment, please ring to book a
time to discuss this with your physiotherapist.
Carry on this protocol for the first 48 hours after
an injury. Also, during this time, avoid HARM. This
means avoid Heat, Alcohol, Return to activity and
Massage until you are sure bleeding and swelling
have stopped.
Did You Know?
The left lung is smaller than
the right lung to make
room for the heart
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Summer 12/13
The practice hours are
7am to 7pm Monday to Friday
8am to 1pm Saturday
You can have the following
conditions treated at our clinic :Acute sporting injuries
Chronic Pain
Headaches and Vertigo
Low Back and Neck Pain
Pre & post orthopaedic and spinal
Women’s Health
Work related injuries
Some of the services
available to you are:Manual Therapy
Dry Needling
Real Time Ultrasound
Casting & Bracing
Exercise Therapy
Biomechanic and postural analysis
Some of the options
available to you are:Hicaps
Bulkbilling of Medicare, Workers
Comp and CTP
Rouse Hill Physiotherapy
and Sports Injury Centre
4/26 Adelphi Street Rouse Hill
PO Box 3672
Rouse Hill NSW 2155
(02) 9836 4444
[email protected]
11SPR1 AUG 2012
©The information in this newsletter is subject to copyright and may not be
reproduced in any form or used without prior approval from Leading Edge
Health Care 4A Byron St Glenelg 5045
Q. How soon after a whiplash
injury should I commence
A. If you suffer a whiplash type
injury you are advised to
commence exercises to regain
movement as soon as possible.
A recent study looked at the
effect of early movement on
people who had a whiplash
injury. The study compared these patients with those who
underwent a program of initial rest, wearing a collar and
gradual self mobilisation. Patients who carried out early
neck exercises had better outcomes in terms of pain relief,
reduced sick leave, regaining or retaining neck movement.
If you have a whiplash injury, your physiotherapist can help
prescribe a neck exercise program suited to your needs.
Rosenfeld et al Spine. 2003 Nov 15;28(22):2491-8
Q. Why do I keeping having hamstring injuries?
A. Hamstring injuries are
common in sports that require
bursts of speed or rapid
acceleration, such as soccer,
track and field, football, and
rugby. Improper warm-up,
fatigue, previous injury, strength imbalance, and poor
flexibility have been correlated with injury. What appears
clear from the literature is the tendency for hamstring
injuries to recur. Minor injuries doubled the risk of having
a more severe injury within 2 months. If you suffer from
a hamstring injury, you should seek advice from your
physiotherapist as soon as possible. If you have had a
previous hamstring injury, be aware of it and consult your
physiotherapist if you notice any tightness or soreness.
Q. I get pain at the front of my
knee when I go for a run. Also,
the knee hurts going up stairs,
sitting for long periods or
squatting. I can’t remember
injuring the knee. Can
physiotherapy help?
A. Many cases of pain at the front of
Are you due to have
orthopaedic surgery?
After most knee, shoulder, hip, back and other
joint surgery you should be having physiotherapy
to enhance your recovery. Ask your surgeon when
you should commence this (usually as soon as
possible). You can also request that you have your
physiotherapy carried out at this clinic.
the knee are related to knee cap (patella) mal-tracking.
This develops when tissue on the outside of the knee
cap tightens and counter-balancing muscles on the
inside of the knee are weakened. Because the knee
cap mal-tracks, this places excessive pressure on the
under-surface of the knee cap and this can lead to
pain. Other contributing factors can include:- poor foot
mechanics, tight thigh muscles, poor pelvic control and
poor training technique. Treatment to correct these
factors can usually help. Therapy usually involves tape
to re-align the knee cap and exercises to stretch and
strengthen weak or tight structures.
Q Have I slipped a disc?
A You can’t really slip
a disc. Discs in the
spine are strong
fibrous structures
that join vertebrae
to each other. When
people say they have
slipped a disc, they
mean they have
damaged some of the tissue that makes up the disc.
Sometimes the gelatinous inner material of the disc will
ooze through into the spinal canal, and press on other
structures in the area, such as nerves.
A damaged, swollen disc can also press on nerves and
other structures.
Q. I suffer from headaches. They are pretty constant
but they increase when I use a computer or do
any desk work. Can physiotherapy help?
A. Headaches can arise
from problems in
the joints of the
upper neck or the
surrounding tissue.
If your doctor has
ruled out a more
serious problem, you
should try a course
of physiotherapy to see if your neck is responsible.
Treatment aimed at mobilising the joints and tissue
in the neck combined with specific strengthening
exercises can be very beneficial. Correcting your
posture, especially when you are sitting at your desk,
can also be of value.
Referring others to our clinic
If you know someone with any of the problems outlined
in this newsletter, please let him or her know about our
clinic. We are very grateful for any referrals we receive
and we will endeavour to provide patients referred
to us with the highest quality of care.
Physiotherapy offers a safe, gentle and effective
treatment approach for a variety of conditions.
The information in this newsletter
is for general patient interest. If
you have a problem you should
get it properly assessed by your
physiotherapist or family doctor.
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